| NPI | 1538357660 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA STUBBS Owner 423-892-6346 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: TN 88243) |
| Enumeration Date | 2007-10-15 |
| Last Update Date | 2007-10-15 |